NPI Code Detail JSON Logo

1851012181 NPI number — CAROL DAIGLE PTACEK LPC

NPI Number: 1851012181
Health Care Provider/Practitioner: CAROL DAIGLE PTACEK LPC

Information about “1851012181” NPI (CAROL DAIGLE PTACEK LPC) exists in 1851012181 in HTML format HTML  |  1851012181 in plain Text format TXT  |  1851012181 in PDF (Portable Document Format) PDF  |  1851012181 in an XML format XML  formats.

NPI Number : 1851012181 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851012181",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PTACEK",
    "FirstName": "CAROL",
    "MiddleName": "DAIGLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2470",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCCALL",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83638-2470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-780-6231",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1126 MO'S WAY",
    "SecondLinePracticeLocationAddress": "#2470",
    "PracticeLocationAddressCityName": "MCCALL",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83638-2470",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-780-6231",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/06/2022",
    "LastUpdateDate": "09/06/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "LPC-5860",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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